Indirect seam or suture for wounds



0& 16, 1945. P. E. G. FERNANDEZ INDIRECT SE AM OR SUTURE FOR WOU NDS Filed Oct. 16, 1945 "ATTORNEYS Patented Oct. 16, 1945 INDIRECT$EHM=OR SUTURiE-FQR WOUNDS ZPe-droiEduafdo .Gomez. Fernandez, Mexico Gi-ty,

Mexico .ikpplication 'This invention relates 1 means for iiindirectly suturing-woundsiwithout requiringaperioration of the -'skin adjacent to the-wound. The application -:of the device embodying "the invention promotes cicatrization and curing or healing of wounds and eliminates :ordinary sutures or stitches which 're'quire pei foration of the skin of .rtheinjuredpati'erit. The dev'ice embodying "the iinv'ention is :adapted tobe applied directly to "the :skin adjacent the wound and comprises, genereliminating the necessity for-pert oratingfthe skin Another object of the inYention Z is "to provide an extremelysimple 'de'viceo'fjthis character that can be applied effectively and' quickly to a wound.

A further object is to provide rnean's in (confiunction-with the devicejwher'eby medication or "antiseptic "may "be :applied to'th'e wound while its lips are held closed "by the device.

Still another "object of the "invention is to .pro-

d r i r nem ans in conj nction w th the adhesive embers'tio preventspull ne outo h lacing during thefhealin process.

To the accomplishment of the foregoing and such other objects as may hereinafter appear, this invention consists in the novel construction and arrangement of parts hereinafter to be de-' scribed and then sought to be defined in the appended claims, reference being bad to the accompanying drawing forming a Dart hereof, which shows merely for the purposes of illustrative disclosure preferred embodiments of the invention, it being expressly understood, however, that changes may be made in practice within the scope of the claim without digressing from the inventive idea.

In the drawing in which similar reference characters denote corresponding parts:

Fig. 1 is a top plan view of one form of the device showing the adhesive members in extended position of non-use;

'1 Claim. ret res-i335.)

Fig. 2 is -a side elevation of {the device of Fig ly r "Fig. S is a topplanview of the device-showing the-adhesive members 'asthey'would appearwlien the lasing is tightened and also showing means =in--conjunction withthe device' for'applying' medication 'o'r' 'antis'epti'c over the wound; 1

Fig. 4 is a Secti'ona1'illustration'of the appli' "cationhfthe device of-Fig; 3-ove'r a wound'on a body; 1

Fig. 5 is a plan view of a somewhat modified form of the deviceyand f Fig. 6 is a side elevatibnof the device of Fig. 5. Referring tothe drawing, m and l' l 1 are "two pieces of flexible material, "preferably of water- :proof adh'e'sive 'tape, oh'other impermeable pieces "of cloth-having adhesive surf-aces and being of any desired :size iie'pendin'g upon the size of the "wound'to be treated; The facing edges A, 'B of the's'e pieces of material have folded or doubled over portions I12 and I3. These foldedove'r po'rti'ons have any desired width and each carrie's' ih the ."fold along the respective edges A and-B a reinforcing member 1 The reinforcing members 1'4 may be of thread or other suitable material. The reinforcing members itserve to reinforce the "edgesA and B of rnem'be'rs I!) so-that the laming iprese'ntly to be described will' n'o't pull out through said-edges; "The folded o'ver portions 1 2 and 13 are provided "withspa-ced apart per-fora- 'tidns 4'5 adjacent the reinforcing threads M. These ispaced 'apart perforations are of 1 any suitable diameter, for example, l m'm orlarg'er :or smaller. Ilikewise, ithespacing b'etween' these perforations "IBmaybe anything desired, for example, the perforations may be 58mm. "apart, or {more or less.

The two members 1 0 and El l are joined b'y'suit- (able alacing means. in the embodiment shown, the lacing means comprises a pair of threads l1, l8 which are laced through alternate ones of the openings or perforations l5 as shown in Fig. l. The threads l1, l8 maybe of any suitable material such as Cellophane or suture material or other suitable material. The free ends [1a, "b, Hm, I 8b of the lacings or threads l1, l8 are temporarily secured to the respective members Ill and II by securing members or patches 20 of adhesive tape or the like.

When it is desired to use the device the adhesive surfaces Illa, H a of the members It and H are adhered adjacent the lips L of a wound W on a body B. The patches 20 are removed and the ends Ha, I'lb, l8a, lb of the lacing threads l1, l8 are drawn tight and knotted at 2|. 22 as applied over the wound. To this end a member" 25 is provided. This member 25 is preferably of waterproof adhesive tape or other suitable material and is secured adhesively to the upper or. outer surfaces Hlb, Nb of the members Ill and A pad 26 bearing medication or antiseptic of any desired kind is secured to this'imemb'e'n 25. The pad 26 is so positioned that it overlies the wound W and" is in contact with the latter through the tightened lacing threads H, I 8.

In order to permit ready and quick use of the device a removable protective rcovering 28 ispro- .vided for the adhesive faces Illa. I la of-the members l and H. This covering 28 of coarse netting or starched cloth or other suitable material spans both-members l0 and II and helps to keep them together in unused position. When the device is to be used, covering 28 is stripped from the adhesive surfaces 10a, Nib in Well known manner to expose the latter so that, they may be applied to the wound as described-herein.

In the modified form. of construction shown in Figs. and 6, the members l0 and H are iden- ,tical with the members and H of Figs. 1 to 4 and-are'provided with the same reinforcement threads M in folded over portions l2 and I3 serving the same purpose. They*are. also provided with the same perforations I5 for'thelacings l1 and 18. 'I'he'ends Ha, l'lb, I811, I812 of the lacings 11,18 are: all brought over and temporarily secured under a single adhesive holding or securing member to one of, th'ezmembers Ill or H, for exampla'the member H. '1

The medication bearing'part is adhered at to the upper "or outer face lob -of-- 'member I0. This part 25' which is preferably ofwatersurface adjacent the wound as illustrated in Fig. 4. The strip or holding member 20 is removed and the lacing threads (1, is are drawn tight to close the lips of the wound, as in the earlier described form, and knotted. Then the protective covering 3| is removed from the part 25' and the latter adhered to the member II by its adhesive surface 25a. The medicated portion 26' then overlies the tightened lacings ll' and I8 in the space between the edges A and B and serves to medicate the wound during the healing process.

- j Both'themembers 25 and 25 may be suitably perforated as at 33 and 34 to permit air to reach the wound through the pads 26 or 26.

All th elements herein described are, of course, sterilized before application to a wound so as to prevent infection. The unit device of proof adhesive tape or other :suitable material Figs. 5 and 6, for example, may be conveniently sterilized and packaged for use in the home or elsewhere in case of emergency: I

The devices described form'indirectsutures'or scenes for wounds that eliminate the necessity forperforating the skin of the wounded patient. They are handy, easily applied and'very' effective, and can be simply manufactured quantitatively andpossess many other advantages.

While specific embodiments of the invention have been disclosed, it is tobe understood that many changes maybe made in practice without departing from th spirit of the invention. There isno intention of limitation to the exact details shown and described. I r

What is claimed is; An indirect suture or seam for wounds comprising a pair of adhesive strips adapted to be adhered respectively adjacent opposite-lips of a wound, a portion of each saidstrip, being folded along an edge, areinforcing thread within each folded over portion, said portions having spaced apart perforations adjacent the reinforcing thread, lacing threaded through said perforations and joining saidg strips and having ends adapted to be" tightened to',. drawthe adhered 'strips toward each other and zthereby to close the lips of said wound, removable ineans to'secure", theflends ofsaid lacingto at least one of said members to prevent entanglement of said ends separation of. said members prior to use of said suture or seam, an adhesive member attached to at least one of said.strips, a medication bearing part adhered tosaid member, and a protectivecovering for said medication bearing part, said medication bearing part being positioned to overlie the lacing in contact with the wound, and said adhesive member being admeasvured to adhere to a portion of said strips when said protective covering is removed.

' PEDRO EDUARDO GOMEZ FERNANDEZ. 

